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<title>Invest Works</title>
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<script src="js/functions.js" type="text/javascript"></script>


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<body>
	<!-- wrapper -->
	<div id="wrapper">
		<!-- shell -->
		<div class="shell">
			<!-- container -->
			<div class="container">
				<div class="cl">&nbsp;</div>
				<!-- main -->

							<div id="form_page">
								<form action="./registercust.htm" method="post">
									<fieldset>
										<legend></legend>
										<table class="main_table">
											<tr>
												<td>First Name:</td>
												<td><input class="text_style" type="text" name="fname" id="fname" >
												<label id="fnm" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.fname}</span></td>
											</tr>
											<tr>
												<td>Last Name:</td>
												<td><input class="text_style" type="text" name="lname" id="lname">
												<label id="lnm" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.lname}</span></td>
											</tr>
											
											<tr>
												<td>Mobile No.:</td>
												<td><input class="text_style" type="text" name="mobileno" id="mobileno">
												<label id="mob_no" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.mobile}</span></td>
											</tr>
											
											<tr>
												<td>Pan no.</td>
												<td><input class="text_style" type="text" name="panno"><span style="color:red">${errormap.panno}</span></td>
											</tr>
											<tr>
												<td>Status:</td>
												<td>
													 <input type="radio" name="status" class="radio_style" id="status">Resident Individual&nbsp;&nbsp;&nbsp;&nbsp; 
													 <input type="radio" name="status" class="radio_style" id="status">HUF &nbsp;&nbsp;<br>
													 <input type="radio" name="status" class="radio_style" id="status">Proprietor &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
												  	 <input type="radio" name="status" class="radio_style" id="status">Society &nbsp;&nbsp;<br>
													 <input type="radio" name="status" class="radio_style" id="status">Bank &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													 <input type="radio" name="status" class="radio_style" id="status">NRI-NRE&nbsp;&nbsp;<br>
													 <input type="radio" name="status" class="radio_style" id="status">NRI-NRO &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													 <input type="radio" name="status" class="radio_style" id="status">PIO &nbsp;&nbsp;<br>
													 <input type="radio" name="status" class="radio_style" id="status">Partnership Firm&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													 <input type="radio" name="status" class="radio_style" id="status">Company &nbsp;&nbsp;<br>
													 <input type="radio" name="status" class="radio_style" id="status">On behalf of minor &nbsp;&nbsp;&nbsp;&nbsp;
													 <input type="radio" name="status" class="radio_style" id="status">Trust&nbsp;&nbsp;<br>
													 <input type="radio" name="status" class="radio_style" id="status">Fll &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													 <input type="radio" name="status" class="radio_style" id="status">Govt.entity &nbsp;&nbsp;<br>
													 <input	type="radio" name="status" class="radio_style" id="status" value="other">Others&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													 
													 <input type="text" name="otherstatus"  id="otherstatus" placeholder="Please specify">
													 
													 <label id="stat" style="color: red; font-style: italic;"></label>
												</td>
											</tr>
											<tr>
												<td>Occupation:</td>
												<td><input type="radio" name="occupation" id="occupation" class="radio_style">Service&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													<input type="radio" name="occupation" id="occupation" class="radio_style">Professional<br>
													<input type="radio" name="occupation" id="occupation" class="radio_style">Proprietorship&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													<input type="radio" name="occupation" id="occupation" class="radio_style">Housewife <br>
													<input type="radio" name="occupation" id="occupation" class="radio_style">Retired &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													<input type="radio" name="occupation" id="occupation" class="radio_style">Student <br> 
													<input type="radio" name="occupation" id="occupation" class="radio_style">Agriculture &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 	
													<input type="radio" name="occupation" id="occupation" class="radio_style">Business <br> 
													<input type="radio" name="occupation" id="occupation" class="radio_style">Others&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
													<input type="text" name="occupation" placeholder="Please specify">
													<label id="occup" style="color: red; font-style: italic;"></label>
												</td>
											</tr>
											<tr>
												<td>Correspondence address:</td>
												<td><textarea cols="40" rows="3" name="c_address"></textarea></td>
											</tr>
											<tr>
												<td>City:</td>
												<td><input class="text_style" type="text" name="c_city"></td>
											</tr>
											<tr>
												<td>Pin code:</td>
												<td><input class="text_style" type="text" name="c_pincode">
													<label id="c_pin" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.cpincode}</span></td>
											</tr>
											<tr>
												<td>Overseas address:</td>
												<td><textarea cols="40" rows="3" name="o_address"
														form="usrform"></textarea></td>
											</tr>
											<tr>
												<td>City:</td>
												<td><input class="text_style" type="text" name="o_city"></td>
											</tr>
											<tr>
												<td>Pin code:</td>
												<td><input class="text_style" type="text" name="o_pincode">
													<label id="o_pin" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.opincode}</span></td>
											</tr>
											<tr>
												<td>Tel office:</td>
												<td><input class="text_style" type="text" name="officeno" id="officeno">
													<label id="office_no" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.officeno}</span></td>
											</tr>
											<tr>
												<td>Tel home:</td>
												<td><input class="text_style" type="text" name="homeno" id="homeno">
													<label id="home_no" style="color: red; font-style: italic;"></label><span style="color:red">${errormap.homeno}</span></td>
											</tr>
											<tr>
												<td>Fax:</td>
												<td><input class="text_style" type="text" name="faxno"><span style="color:red">${errormap.fax}</span></td>
											</tr>
											

										</table>
											<input type="button" value="submit" >
									</fieldset>
								</form>
							</div>
					

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